We present a case of a successful bilateral leg replantation in a 3-month-old baby after a knee-level crush amputation with the loss of both knee joints. The legs were replanted after 4 hours of warm and an additional 2.5 and 3.5 hours of cold ischemia time. Both legs show motor and sensory reinnervation, without additional procedures performed on the right leg, and after a nerve reconstruction with cadaveric allografts on the left leg. Both replanted legs exhibit excellent bony and soft tissue growth. Two years after the injury, the patient is progressing well with rehabilitation, with favourable odds of having knee reconstructions performed at a later age. This is the youngest patient reported to have had successful replantation of both legs.
From the *Department of Surgery, University of Zagreb School of Medicine; and †Department of Plastic Surgery, University Hospital Zagreb, Zagreb, Croatia.
Received June 27, 2016, and accepted for publication, after revision October 30, 2016.
Conflicts of interest and sources of funding: none declared.
Reprints: Kresimir Bulic, MD, PhD, University of Zagreb School of Medicine University Hospital Zagreb Kispaticeva 12, 10000 Zagreb, Croatia. E-mail: firstname.lastname@example.org.